MEDICARE: LEE YEE WIN M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A144405	CA

General Provider Information

NPI Number	:	1164834339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE YEE WIN M.D.,

Provider Business Mailing Address
First Line	:	34361 GREEN LANTERN ST
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2763
Country	:	US
Telephone Number	:	626-602-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	24060 CAMINO DEL AVION STE A
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-4006
Country	:	US
Telephone Number	:	949-557-0870
Fax Number	:	949-557-0871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	07/26/2023

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